Toe deformity

Definition

It is the deformation of the little toes that gradually flex.

Evolution

At the start, the toe remains flexible and comes back in place in the shoe, which causes little discomfort. Gradually the toe stiffens and flexes more and more causing discomfort when putting on the foot and debilitating pain. It forms calluses (= redness on the toe) which are sometimes very painful, with sores and risk of infection.

Treatment

As long as the toe remains flexible, the treatment is podiatry (insoles, orthotics). When calluses appear orthoses and pedicure care are necessary. If the pain persists despite treatment or in the event of a complication (infection, chronic wound), the treatment is surgical.

Surgical procedures and techniques

The operation consists of cutting part of a phalanx and lengthening or cutting certain tendons to put the toe back in the correct position. In some cases braces are put in place for a few weeks.

Operative suites

Usually full support is allowed except when pins are in place. The operated toe remains swollen and stiff for several weeks.

Frequent question

Is it normal that an operated claw toe remains stiff for several months after the operation?

The procedure for a claw toe is usually done when the toe is stiff, flexed, and painful. It makes it possible to obtain a painless toe and no longer causing discomfort when putting on the foot. The toe is in a good position but often remains stiff, especially since it was stiff and flexed before the operation.